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PROVIDER PROFILE · NPI 1154361285

Karl BlumMD

PRACTICEOCEAN SPINE AND ADULT JOINT RECONSTRUCTIONSee all providers at this practice →
Orthopedic SurgeryToms River, NJI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$3K
Payment records
17
By payment type
Travel and Lodging$2K
Food and Beverage$2K
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 317067
Home health agency
CCN 310041
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
249
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
6
Brand share
12.4%
Top prescribed drugs
Tramadol Hcl67 claims
Methylprednisolone58 claims
Cephalexin52 claims
Oxycodone Hcl/Acetaminophen31 claims
Meloxicam28 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
3,354
Unique beneficiaries
—
Total services
36,553
Distinct HCPCS
31
Medicare payment
$278K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 656 Orthopedic Surgery providers in NJ — top quintile (cohort median 1,908).
REFERRAL NETWORK

Where Karl Blum's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 38 inbound referrers · 79 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
COMMUNITY MEDICAL CENTER INC265813
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
139385
Michael D'angelo
Diagnostic Radiology · Baltimore, MD
56114
Jess Alcid
Orthopedic Surgery · Toms River, NJ
55203
Mark Kasper
Orthopedic Surgery · Toms River, NJ
49162
Christopher Passariello
Orthopedic Surgery · Toms River, NJ
46136
Robert Cranley
Diagnostic Radiology · Lakewood, NJ
4495
Justin Kubeck
Orthopedic Surgery · Toms River, NJ
42107
William Qiu
Diagnostic Radiology · Browns Mills, NJ
2950
PETRILLO, JOHN2962
Najib Alturk
Cardiology · Toms River, NJ
2897
Nazir Elabidin
Diagnostic Radiology · Toms River, NJ
2759
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
COMMUNITY MEDICAL CENTER INC201451
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
132321
Jess Alcid
Orthopedic Surgery · Toms River, NJ
84403
Mark Kasper
Orthopedic Surgery · Toms River, NJ
66186
Justin Kubeck
Orthopedic Surgery · Toms River, NJ
65159
NPI 156849852558198
VNA HEALTH GROUP OF NEW JERSEY, LLC52149
Robert Cranley
Diagnostic Radiology · Lakewood, NJ
5199
Quest Diagnostics Incorporated
Clinical Laboratory · Clifton, NJ
51101
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER, LLC4692
Michael D'angelo
Diagnostic Radiology · Baltimore, MD
4472
Hani Douedi
Cardiology · Toms River, NJ
4271
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.